Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak
During the Escherichia coli O157:H7 outbreak in 2006 in the United States, the primary strategy to prevent illness was to advise consumers not to eat spinach. No widespread warnings were issued about preventing person-to-person (secondary) transmission. A disease transmission model, fitted to the cu...
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Format: | Article |
Language: | English |
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Centers for Disease Control and Prevention
2007-06-01
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Series: | Emerging Infectious Diseases |
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Online Access: | https://wwwnc.cdc.gov/eid/article/13/6/06-1264_article |
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author | Edmund Y.W. Seto Jeffrey A. Soller John M. Colford |
author_facet | Edmund Y.W. Seto Jeffrey A. Soller John M. Colford |
author_sort | Edmund Y.W. Seto |
collection | DOAJ |
description | During the Escherichia coli O157:H7 outbreak in 2006 in the United States, the primary strategy to prevent illness was to advise consumers not to eat spinach. No widespread warnings were issued about preventing person-to-person (secondary) transmission. A disease transmission model, fitted to the current data, was used to investigate likely reductions in illnesses that could result from interventions to prevent secondary transmission. The model indicates that exposure to contaminated spinach occurred early in the outbreak and that the secondary illness transmission was similar to that in previous E. coli outbreaks (≈12%). The model also suggests that even a modestly effective strategy to interrupt secondary transmission (prevention of only 2%–3% of secondary illnesses) could result in a reduction of ≈5%–11% of symptomatic cases. This analysis supports the use of widespread public health messages during outbreaks of E. coli O157:H7 with specific advice on how to interrupt secondary transmission. |
first_indexed | 2024-04-12T08:28:06Z |
format | Article |
id | doaj.art-e727d865ec4a4a20b045db95fdfa336e |
institution | Directory Open Access Journal |
issn | 1080-6040 1080-6059 |
language | English |
last_indexed | 2024-04-12T08:28:06Z |
publishDate | 2007-06-01 |
publisher | Centers for Disease Control and Prevention |
record_format | Article |
series | Emerging Infectious Diseases |
spelling | doaj.art-e727d865ec4a4a20b045db95fdfa336e2022-12-22T03:40:20ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592007-06-0113686086610.3201/eid1306.061264Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 OutbreakEdmund Y.W. SetoJeffrey A. SollerJohn M. ColfordDuring the Escherichia coli O157:H7 outbreak in 2006 in the United States, the primary strategy to prevent illness was to advise consumers not to eat spinach. No widespread warnings were issued about preventing person-to-person (secondary) transmission. A disease transmission model, fitted to the current data, was used to investigate likely reductions in illnesses that could result from interventions to prevent secondary transmission. The model indicates that exposure to contaminated spinach occurred early in the outbreak and that the secondary illness transmission was similar to that in previous E. coli outbreaks (≈12%). The model also suggests that even a modestly effective strategy to interrupt secondary transmission (prevention of only 2%–3% of secondary illnesses) could result in a reduction of ≈5%–11% of symptomatic cases. This analysis supports the use of widespread public health messages during outbreaks of E. coli O157:H7 with specific advice on how to interrupt secondary transmission.https://wwwnc.cdc.gov/eid/article/13/6/06-1264_articlemathematical modeloutbreakE. coli O157:H7risk assessmentsecondary transmissiondiarrhea |
spellingShingle | Edmund Y.W. Seto Jeffrey A. Soller John M. Colford Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak Emerging Infectious Diseases mathematical model outbreak E. coli O157:H7 risk assessment secondary transmission diarrhea |
title | Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak |
title_full | Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak |
title_fullStr | Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak |
title_full_unstemmed | Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak |
title_short | Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak |
title_sort | strategies to reduce person to person transmission during widespread escherichia coli o157 h7 outbreak |
topic | mathematical model outbreak E. coli O157:H7 risk assessment secondary transmission diarrhea |
url | https://wwwnc.cdc.gov/eid/article/13/6/06-1264_article |
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